I'm working on that same issue here at Emory. It's been interesting for
me because in one ED, our division controls the schedule. In the other
ED, the residency program controls the schedule. Anyway, here are my
answers , hope this helps!
Adam Silverman <[log in to unmask]> on Monday, May 19, 2008 at 2:35
PM -0500 wrote:
>I have some questions about the scheduling of residents in academic
>1) How many site coordinators do the actual scheduling of residents
>(versus chief residents making the schedule)?
One person does the scheduling for the residents in one ED. The chief
residents make the schedule for the other ED.
>2) For those who make the schedule (or for those who don't, but are aware
>of the intimacies of the schedule), how many shifts are scheduled per
>4-week period or month for each resident?
IT depends. In the schedule that I make, we try and get the residents to
have about 15-16 shifts per 4 week block. At the other site where the
chief residents make the schedule, the number of shifts can very between
18 and 21 shifts/ 4 wk block.
>3) Do the numbers change depending on how many residents are scheduled
>for the month or do shifts go uncovered if there are fewer residents?
In the schedule I make, if we don't have enough residents, I max out as
much as possible, then try to leave uncovered holes in the schedule in the
times when there's usually a drop in volume. In the chief resident
schedule, I think they do something similar. However the holes are left
based on the needs of the residency program coverage as a whole; also,
residents may be pulled from any previously assigned areas (including the
ED) to cover for call outs, etc. (At least, this is how I understand it.)
So, at various points in the year, we go under sub-optimal staffing for
>4) How long are the usual shifts?
On one campus, shifts are 8-10 hours long. At the other campus, shifts
are 12 hours for the most part.
>5) Are the numbers of shifts or length of shifts different for pediatric
>versus emergency medicine versus family practice residents?
At the campus I make the schedule for, the number of shifts are the same.
At the other campus, the pediatric senior residents all get 14 twelve-hour
shifts and 7 10-hour shifts. Otherwise, the rest of the residents get
about the same number of shifts, all 12 hours long (14 shifts if the
resident is taking vacation, 18-19 shifts if they're not).
I will say that we're in the midst of trying to restructure the schedule
for the campus that the chief residents are making the schedule for since
there has been a great number of complaints from the residents and
attendings as to how that ED is staffed.
Hope that helps!
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